Active NPI
Anthony J Castrovinci, M.D.
- Dermatology Physician
- Mentor, OH
National Provider Identifier
1477649713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35-031291
- Practice address
- 7915 Munson Rd
Mentor, OH 44060 - Phone
- (440) 951-2304
- Fax
- (440) 951-2304
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35-031291 | OH | Primary |
Addresses
Primary practice location
7915 Munson Rd
Mentor, OH 44060
Mailing address
7915 Munson Rd
Mentor, OH 44060
Phone (440) 951-2304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000127937 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-031291 | OH | MD | Dermatology Physician |
Interoperability endpoints
- acastrovinci37800@ehrdirect.uhhospitals.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477649713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7915 MUNSON RD",
"city": "MENTOR",
"state": "OH",
"postal_code": "44060",
"telephone_number": "440-951-2304",
"fax_number": "440-951-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7915 MUNSON RD",
"city": "MENTOR",
"state": "OH",
"postal_code": "44060",
"telephone_number": "440-951-2304",
"fax_number": "440-951-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTROVINCI",
"first_name": "ANTHONY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35-031291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000127937",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.